Jordan Albright Larson, PT, OCS | |
1105 E Foster Rd Ste B, Santa Maria, CA 93455-6400 | |
(805) 934-0663 | |
(805) 934-0663 |
Full Name | Jordan Albright Larson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 1105 E Foster Rd Ste B, Santa Maria, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740352392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT 21537 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Active Physical Therapy, Inc | 6406812817 | 2 |
Provider Name | Active Physical Therapy, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1902978968 PECOS PAC ID: 6406812817 Enrollment ID: O20041207001234 |
Mailing Address | Practice Location Address |
---|---|
Jordan Albright Larson, PT, OCS 247 Santa Fe Ave, Pismo Beach, CA 93449-1948 Ph: () - | Jordan Albright Larson, PT, OCS 1105 E Foster Rd Ste B, Santa Maria, CA 93455-6400 Ph: (805) 934-0663 |
Dr. Ernesto Josue Vega, PT,DPT,CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 526 San Diego St, Santa Maria, CA 93455 Phone: 805-867-3110 | |
Staci Lynn-sargent Mc Lean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015b S Broadway, Santa Maria, CA 93454 Phone: 805-440-9318 Fax: 805-938-5390 | |
Dallan Noel Rigby, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 N Miller St, Santa Maria, CA 93454 Phone: 805-739-2518 | |
Quentin Doug Sims Iii, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 | |
Alexis Emmanuel Camacho Zarate, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N College Dr Ste 203, Santa Maria, CA 93454 Phone: 805-922-1724 | |
Mr. Gino John Brunello, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 | |
Tanya Conley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4869 S Bradley Rd, 114, Santa Maria, CA 93455 Phone: 805-938-5320 Fax: 805-938-5390 |